Chapter 13 Disorders of Red Blood Cells
1.Sue is fatigued and some blood tests are done. Her results include Hct 40%; Hgb 8g/dL;
WBC 8,000; platelets 175,000. The nurse should interpret Sue's blood work as indicative
of:
A) high platelets/thrombocytosis.
B) low WBC count/granulocytopenia.
C) low hemoglobin/anemia.
D) high hematocrit/polycythemia.
2.Manifestations of anemia that are directly due to the diminished oxygen-carrying
capacity of hemoglobin include:
A) fatigue. B)
bleeding. C)
bone pain. D)
pale skin.
3.When an Rh-negative mother has been sensitized and is pregnant with an Rh-positive
fetus, what happens to the fetus?
A) Bilirubin deficiency
B) Nothing, this is normal
C) Plasma volume depletion
D) Profound red cell hemolysis
4.The patient is an average-sized adult and has abnormal microcytic hypochromic red
blood cells due to a long-term, chronic disease. Which of the following CBC results is
characteristic of her type of anemia?
A) Hematocrit 44%
B) Reticulocytes 1.5%
C) Band cells 3,000/mL
D) Hemoglobin 8 g/dL
5.Megaloblastic anemias caused by folic acid or vitamin B12 deficiencies can seriously
affect RBC production. This is because both are necessary for synthesis and
.
A) iron; hemoglobin adhesion
B) DNA; red blood cell maturation
C) thrombin; platelet aggregation
D) protein; reticulocyte maturation
6.Polycythemia develops in patients with lung disease as a result of:
A) hyperventilation.
B) chronic hypoxia.
, C) decreased blood viscosity.
D) excessive respiratory fluid loss.
7.Which of the following types and characteristics of anemia are correctly matched?
A) Hemolytic; abnormal iron uptake
B) Iron deficiency; early RBC death
C) Folate; decreased erythropoiesis
D) Blood loss; bone marrow expansion
8.Conditions that predispose to sickling of hemoglobin in persons with sickle cell anemia
include:
A) impaired red blood cell maturation.
B) increased iron content of blood.
C) decreased oxygen saturation.
D) increased intravascular volume.
9.An elevated level of unconjugated bilirubin, due to hemolysis of RBCs, results in a high
level of iron released and:
A) diarrhea.
B) cyanosis.
C) numbness.
D) jaundice.
10.Hemolytic anemia is characterized by excessive red blood cell destruction and
compensatory:
A) hypoactive bone marrow.
B) increased erythropoiesis.
C) iron retention in the body.
D) shrinkage of the spleen.
11.A 48-year-old male patient, who normally enjoys good health, has been admitted to the
hospital for the treatment of polycythemia vera. The nurse who is providing care for the
patient should prioritize assessments aimed at the early identification of which of the
following health problems?
A) Orthostatic hypotension
B) Hyperventilation and respiratory alkalosis
C) Vasculitis
D) Thromboembolism
12.Which of the following patients is most susceptible to experiencing the effects of
1.Sue is fatigued and some blood tests are done. Her results include Hct 40%; Hgb 8g/dL;
WBC 8,000; platelets 175,000. The nurse should interpret Sue's blood work as indicative
of:
A) high platelets/thrombocytosis.
B) low WBC count/granulocytopenia.
C) low hemoglobin/anemia.
D) high hematocrit/polycythemia.
2.Manifestations of anemia that are directly due to the diminished oxygen-carrying
capacity of hemoglobin include:
A) fatigue. B)
bleeding. C)
bone pain. D)
pale skin.
3.When an Rh-negative mother has been sensitized and is pregnant with an Rh-positive
fetus, what happens to the fetus?
A) Bilirubin deficiency
B) Nothing, this is normal
C) Plasma volume depletion
D) Profound red cell hemolysis
4.The patient is an average-sized adult and has abnormal microcytic hypochromic red
blood cells due to a long-term, chronic disease. Which of the following CBC results is
characteristic of her type of anemia?
A) Hematocrit 44%
B) Reticulocytes 1.5%
C) Band cells 3,000/mL
D) Hemoglobin 8 g/dL
5.Megaloblastic anemias caused by folic acid or vitamin B12 deficiencies can seriously
affect RBC production. This is because both are necessary for synthesis and
.
A) iron; hemoglobin adhesion
B) DNA; red blood cell maturation
C) thrombin; platelet aggregation
D) protein; reticulocyte maturation
6.Polycythemia develops in patients with lung disease as a result of:
A) hyperventilation.
B) chronic hypoxia.
, C) decreased blood viscosity.
D) excessive respiratory fluid loss.
7.Which of the following types and characteristics of anemia are correctly matched?
A) Hemolytic; abnormal iron uptake
B) Iron deficiency; early RBC death
C) Folate; decreased erythropoiesis
D) Blood loss; bone marrow expansion
8.Conditions that predispose to sickling of hemoglobin in persons with sickle cell anemia
include:
A) impaired red blood cell maturation.
B) increased iron content of blood.
C) decreased oxygen saturation.
D) increased intravascular volume.
9.An elevated level of unconjugated bilirubin, due to hemolysis of RBCs, results in a high
level of iron released and:
A) diarrhea.
B) cyanosis.
C) numbness.
D) jaundice.
10.Hemolytic anemia is characterized by excessive red blood cell destruction and
compensatory:
A) hypoactive bone marrow.
B) increased erythropoiesis.
C) iron retention in the body.
D) shrinkage of the spleen.
11.A 48-year-old male patient, who normally enjoys good health, has been admitted to the
hospital for the treatment of polycythemia vera. The nurse who is providing care for the
patient should prioritize assessments aimed at the early identification of which of the
following health problems?
A) Orthostatic hypotension
B) Hyperventilation and respiratory alkalosis
C) Vasculitis
D) Thromboembolism
12.Which of the following patients is most susceptible to experiencing the effects of
